Dr David Muggeridge D.Muggeridge@napier.ac.uk
Lecturer
Dr David Muggeridge D.Muggeridge@napier.ac.uk
Lecturer
Kara Callum
Lynsey Macpherson
Nick Howard
Claudia Graune
Ian Megson
Adam Giangreco
Susan Gallacher
Linda Campbell
Gethin Williams
Ashish Macaden
Stephen J. Leslie
Atrial fibrillation (AF) is a major cause of recurrent stroke and transient ischaemic attack (TIA) in the UK. As many patients can have asymptomatic paroxysmal AF, prolonged arrhythmia monitoring is advised in selected patients following a stroke or TIA. This service evaluation assessed the clinical and potential health economic impact of prolonged arrhythmia monitoring post-stroke using R-TEST monitoring devices.
This was a prospective, case-controlled, service evaluation in a single health board in the North of Scotland. Patients were included if they had a recent stroke or TIA, were in sinus rhythm, and did not have another indication for, or contraindication to, oral anticoagulation. A health economic model was developed to estimate the clinical and economic value delivered by the R-TEST monitoring. Approval to use anonymised patient data in this service evaluation was obtained.
During the evaluation period, 100 consecutive patients were included. The average age was 70 ± 11 years, 46% were female. Stroke was the presenting complaint in 83% of patients with the other 17% having had a TIA. AF was detected in seven of 83 (8.4%) patients who had had a stroke and one of 17 (5.9%) patients with a TIA. Health economic modelling predicted that adoption of R-TEST monitoring has a high probability of demonstrating both clinical and economic benefits.
In conclusion, developing a post-stroke arrhythmia monitoring service using R-TEST devices is feasible, effective at detecting AF, and represents a probable clinical and economic benefit
Muggeridge, D., Callum, K., Macpherson, L., Howard, N., Graune, C., Megson, I., Giangreco, A., Gallacher, S., Campbell, L., Williams, G., Macaden, A., & Leslie, S. J. (2022). Clinical and health economic evaluation of a post-stroke arrhythmia monitoring service. British Journal of Cardiology, 29(2), 46-51. https://doi.org/10.5837/bjc.2022.015
Journal Article Type | Article |
---|---|
Acceptance Date | Feb 7, 2022 |
Online Publication Date | May 31, 2022 |
Publication Date | May 31, 2022 |
Deposit Date | Jun 3, 2022 |
Publicly Available Date | Jun 27, 2022 |
Journal | British Journal of Cardiology |
Print ISSN | 0969-6113 |
Peer Reviewed | Peer Reviewed |
Volume | 29 |
Issue | 2 |
Pages | 46-51 |
DOI | https://doi.org/10.5837/bjc.2022.015 |
Public URL | http://researchrepository.napier.ac.uk/Output/2875681 |
Publisher URL | https://bjcardio.co.uk/2022/05/clinical-and-health-economic-evaluation-of-a-post-stroke-arrhythmia-monitoring-service/ |
Clinical And Health Economic Evaluation Of A Post-stroke Arrhythmia Monitoring Service (Figures 1-3)
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Clinical And Health Economic Evaluation Of A Post-stroke Arrhythmia Monitoring Service (accepted version)
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Copyright Statement
Copyright of Medinews (Cardiology) Limited. Full citation: Callum K, Muggeridge DJ, Giggins OM et al. Clinical application of physical-activity monitoring in patients with CIEDs Br J Cardiology 2020;27:115-8. doi:10.5837/bjc.2020.035
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